Um distúrbio metabólico genético raro, causado pela falta de uma enzima chamada piruvato quinase. É caracterizado por um tipo de anemia crônica (de longa duração) com diferentes níveis de gravidade, em que os glóbulos vermelhos são destruídos, mas sem adquirir um formato esférico anormal. Isso causa sintomas que podem variar bastante, desde casos de anemia grave, que podem ser fatais logo após o nascimento, até situações onde a destruição dos glóbulos vermelhos é tão bem compensada pelo corpo que a pessoa não apresenta sinais visíveis de anemia.
Introdução
O que você precisa saber de cara
Um distúrbio metabólico genético raro, causado pela falta de uma enzima chamada piruvato quinase. É caracterizado por um tipo de anemia crônica (de longa duração) com diferentes níveis de gravidade, em que os glóbulos vermelhos são destruídos, mas sem adquirir um formato esférico anormal. Isso causa sintomas que podem variar bastante, desde casos de anemia grave, que podem ser fatais logo após o nascimento, até situações onde a destruição dos glóbulos vermelhos é tão bem compensada pelo corpo que a pessoa não apresenta sinais visíveis de anemia.
Tem tratamento?
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 22 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 29 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.
Pyruvate kinase that catalyzes the conversion of phosphoenolpyruvate to pyruvate with the synthesis of ATP, and which plays a key role in glycolysis
Pyruvate kinase hyperactivity
Autosomal dominant phenotype characterized by increase of red blood cell ATP.
Medicamentos e terapias
Mecanismo: Pyruvate kinase isozymes R/L activator
Variantes genéticas (ClinVar)
176 variantes patogênicas registradas no ClinVar.
Vias biológicas (Reactome)
5 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Anemia hemolítica por deficiência de piruvato cinase dos eritrócitos
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Outros ensaios clínicos
Publicações mais relevantes
Pyruvate kinase deficiency modifies sickle hemoglobin carrier and sickle cell disease phenotypes in mice.
Growing evidence indicates that PKLR, the gene for pyruvate kinase (PK), is a genetic modifier of the sickle cell phenotype. Coinheritance of specific PKLR variants is associated with increased pain-related hospitalization and can trigger sickle cell disease (SCD) phenotypes in asymptomatic carriers. PK deficiency disrupts RBC glycolysis, leading to ATP deficits and accumulation of 2,3-diphosphoglycerate, which exacerbates sickling in SCD. Using CRISPR-Cas9, we generated null mutations in Pklr [Pklr(13ntdel/13ntdel) or Pklr(246ntdel/246ntdel)] specific for the RBC isoform (PKR) in Townes mice that were homozygous (SS) or heterozygous (AS) for the human sickle globin gene, or homozygous for human hemoglobin A (AA, controls), to investigate the effect of PKR deficiency on the sickle phenotype in mice. PKR-deficient AA and AS mice developed severe anemia, reticulocytosis, and substantial spleen and liver iron deposits. Unlike what is observed in humans, PKR deficiency in AS and SS mice surprisingly decreased sickling, but it was also associated with increased extramedullary hematopoiesis and mitochondrial retention in mature RBCs. These results demonstrate the differential effect of Pklr mutations on the phenotype of both AS and SS mouse models, offering insights into the complex role of PKR deficiency in SCD pathology.
Pyruvate Kinase Deficiency: Markedly Decreased Reticulocyte PK Activity and Limited Specificity of the PK/HK Ratio.
Diagnosis of pyruvate kinase deficiency (PKD) remains challenging in clinical practice. The pyruvate kinase (PK) to hexokinase (HK) activity ratio (PK/HK) was proposed to reduce the confounding effect of reticulocytosis on PK activity measurement. However, decreased PK activity and PK/HK ratios have also been observed in other anemias, raising doubts about their diagnostic value. We assessed the diagnostic accuracy of PK/HK ratio versus PK activity in differentiating PKD from other hereditary anemias. This study included 41 patients with molecularly confirmed PKD and 62 patients with other anemias. We also evaluated the influence of reticulocytosis and transfusions on erythrocyte PK activity. The PK/HK ratio showed 73% specificity, while PK activity alone achieved 95%. In PKD patients, reticulocytosis did not affect PK activity because reticulocyte PK activity was already markedly reduced (23-fold) compared with controls. In other anemias, decreases in PK activity were present in both reticulocytes and erythrocytes, but to a lesser extent. Transfusions contribute more to the false-normal result of PK activity than reticulocytosis. Measuring reticulocyte-specific PK activity during regular transfusions provided reliable results, as only patient-derived reticulocytes are present in the blood. PK activity demonstrates higher specificity than PK/HK ratio in diagnosing PKD. Reticulocytosis is not a confounder, while transfusions remain the main limitation. Reticulocyte-specific PK activity measurement may improve diagnostic accuracy in transfused patients.
Hereditary disorders of ineffective erythropoiesis.
Under steady state conditions, humans must produce ∼2 million red blood cells per second to sustain normal red blood cell counts and hemoglobin levels. Ineffective erythropoiesis, also termed dyserythropoiesis, is a process by which erythroid precursors die or fail to efficiently differentiate in the bone marrow. Ineffective erythropoiesis is characterized by expanded bone marrow erythropoiesis and increased erythroferrone production by bone marrow erythroblasts, with the latter resulting in reduced hepcidin production and increased iron absorption. Ineffective erythropoiesis may result from acquired and congenital conditions. Inherited causes of ineffective erythropoiesis include β-thalassemia, sideroblastic anemias, pyruvate kinase deficiency, and congenital dyserythropoietic anemias. This manuscript reviews the definition and evidence for ineffective erythropoiesis and describes the most common hereditary disorders of dyserythropoiesis.
Mitapivat for Acquired Pyruvate Kinase Deficiency.
Pyruvate kinase (PK) activation is emerging as a promising treatment modality for numerous congenital hemolytic anemias of diverse pathophysiology, and one agent, mitapivat, is already licensed to treat patients with congenital PK deficiency. However, PK deficiency may also be acquired in the setting of clonal myeloid disorders and other pathologies, where it may result in severe hemolytic anemia and remains without known therapies. This case report describes the novel application of mitapivat therapy in a patient with acquired PK deficiency causing red cell transfusion dependence, liberating the patient from transfusions and resulting in marked improvement in symptoms and quality of life.
Metabolic Rigidity as a Mechanical Barrier to Malaria: Flickering Loss in PKLR-Deficient Erythrocytes.
Pyruvate kinase (PK) deficiency is a rare hereditary enzymopathy caused by mutations in the PKLR gene, leading to reduced glycolytic ATP production in red blood cells (RBCs) and contributing to chronic hemolytic anemia. Here, we use high-speed flickering spectroscopy and non-invasive microrheology to assess how ATP depletion reshapes the nanomechanical properties of RBC membranes. Compared to healthy controls, PKLR-mutant erythrocytes exhibit marked reductions in ATP-dependent flickering amplitude and membrane fluidity, consistent with impaired metabolic elasticity. Strikingly, when infected with Plasmodium yoelii, these metabolically rigidified cells retain mechanical properties that appear to hinder parasite-induced membrane remodeling. By mapping single-cell viscoelastic landscapes across healthy, mutated, infected, and coinfected mouse RBC populations, we uncover a potential biomechanical barrier against malaria imposed by glycolytic insufficiency. These findings highlight a mechanobiological axis of host resistance and position label-free flickering analysis as a powerful tool for diagnosing RBC enzymopathies and probing infection susceptibility at the single-cell level.
Publicações recentes
Achondroplasia and hypochondroplasia in France: a nationwide epidemiological analysis.
Computed tomography anatomic predictors of outcomes in patients undergoing tricuspid transcatheter edge-to-edge repair.
Impact of Medication Nonadherence in a Clinical Trial of Dual Antiplatelet Therapy.
Effects of thymectomy on late-onset non-thymomatous myasthenia gravis: systematic review and meta-analysis.
📚 EuropePMC1 artigos no totalmostrando 118
Pyruvate kinase deficiency modifies sickle hemoglobin carrier and sickle cell disease phenotypes in mice.
JCI insightMetabolic Rigidity as a Mechanical Barrier to Malaria: Flickering Loss in PKLR-Deficient Erythrocytes.
FASEB journal : official publication of the Federation of American Societies for Experimental BiologyPyruvate Kinase Deficiency: Markedly Decreased Reticulocyte PK Activity and Limited Specificity of the PK/HK Ratio.
International journal of molecular sciencesEfficacy and safety of pyruvate kinase activator in treating hemolytic anemias: a systematic review.
Expert review of hematologyLong-term efficacy and safety of mitapivat in non-transfusion-dependent α- or β-thalassaemia: An open-label phase 2 study.
British journal of haematologyRed Blood Cell Disorders in Newborns: Bridging Traditional and Modern Diagnostics.
Fetal and pediatric pathologyHereditary disorders of ineffective erythropoiesis.
Blood cells, molecules & diseasesOvarian tissue cryopreservation for a girl with combined severe hemolytic anemia due to pyruvate kinase deficiency: a case report and literature review.
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology10-Year Risk of Gallstones in Congenital Red Blood Cell Disorder Patients: A Nationwide Cohort Study.
American journal of hematologyCase report: Modified transplantation for pediatric patients with pyruvate kinase deficiency.
Frontiers in immunology[Expert consensus on the diagnosis and treatment of pyruvate kinase deficiency].
Zhonghua yi xue za zhiThe Efficacy of Mitapivat in Case of Transfusion Dependence Linked to Beta Thalassemia Trait Associated with Pyruvate Kinase Deficiency.
Journal of cellular and molecular medicineMitapivat for Acquired Pyruvate Kinase Deficiency.
Pediatric blood & cancerHow We Treat Hemolytic Anemia Due to Pyruvate Kinase Deficiency.
Hematology reportsRed Cell Pyruvate Kinase Deficiency With Hypertriglyceridemia: A Case Report.
CureusDesigning a single-arm phase 2 clinical trial of mitapivat for adult patients with erythrocyte membranopathies (SATISFY): a framework for interventional trials in rare anaemias - pilot study protocol.
BMJ openPyruvate kinase deficiency in 29 Turkish patients with two novel intronic variants.
British journal of haematologyUnveiling the genetic landscape of suspected congenital dyserythropoietic anemia type I: A retrospective cohort study of 36 patients.
American journal of hematologyMitapivat-Associated Rib Fracture in a Hemolytic Anemia Patient.
CureusPyruvate kinase deficiency and PKLR gene mutations: Insights from molecular dynamics simulation analysis.
HeliyonDiagnosis and management of pyruvate kinase deficiency: international expert guidelines.
The Lancet. HaematologyMitapivat improves ineffective erythropoiesis and iron overload in adult patients with pyruvate kinase deficiency.
Blood advancesRecent developments in the use of pyruvate kinase activators as a new approach for treating sickle cell disease.
BloodDifferential Gene Expression of Malaria Parasite in Response to Red Blood Cell-Specific Glycolytic Intermediate 2,3-Diphosphoglycerate (2,3-DPG).
International journal of molecular sciencesMitapivat: A Review in Pyruvate Kinase Deficiency in Adults.
DrugsClonal hematopoiesis and acquired genetic abnormalities of the red cell: An historical review.
Blood cells, molecules & diseasesMitapivat: A Quinolone Sulfonamide to Manage Hemolytic Anemia in Adults With Pyruvate Kinase Deficiency.
American journal of therapeuticsOxidative Stress in Healthy and Pathological Red Blood Cells.
BiomoleculesNeonatal Thrombocytopenia as a Presenting Finding in de novo Pyruvate Kinase Deficiency.
NeonatologyMitapivat: A Novel Treatment of Hemolytic Anemia in Adults with Pyruvate Kinase Deficiency.
Current medicinal chemistryThe Pyruvate Kinase Deficiency Global Longitudinal (Peak) Registry: rationale and study design.
BMJ openUpdates and advances in pyruvate kinase deficiency.
Trends in molecular medicineEvaluation of the main regulators of systemic iron homeostasis in pyruvate kinase deficiency.
Scientific reportsTargeted next-generation sequencing identifies eighteen novel mutations expanding the molecular and clinical spectrum of PKLR gene disorders in the Indian population.
Annals of hematologyMitapivat for sickle cell disease and thalassemia.
Drugs of today (Barcelona, Spain : 1998)2,3-Diphosphoglycerate and the Protective Effect of Pyruvate Kinase Deficiency against Malaria Infection-Exploring the Role of the Red Blood Cell Membrane.
International journal of molecular sciencesCase report: Compound heterozygosity in PKLR gene with a large exon deletion and a novel rare p.Gly536Asp variant as a cause of severe pyruvate kinase deficiency.
Frontiers in pediatricsPrenatal management of fetal anemia due to pyruvate kinase deficiency: A case report.
Transfusion[Congenital hemolytic anemias due to erythrocyte membrane and enzyme defects].
Deutsche medizinische Wochenschrift (1946)An evaluation of mitapivat for the treatment of hemolytic anemia in adults with pyruvate kinase deficiency.
Expert review of hematologyMitapivat for treatment of pyruvate kinase deficiency.
The Lancet. HaematologyPyruvate kinase deficiency: clinical expression and new therapies.
Clinical advances in hematology & oncology : H&ODiagnosis, monitoring, and management of pyruvate kinase deficiency in children.
Pediatric blood & cancerMitapivat versus Placebo for Pyruvate Kinase Deficiency.
The New England journal of medicineConcomitant Hereditary Spherocytosis and Pyruvate Kinase Deficiency in a Spanish Family with Chronic Hemolytic Anemia: Contribution of Laser Ektacytometry to Clinical Diagnosis.
CellsNovel PKLR missense mutation (A300P) causing pyruvate kinase deficiency in an Omani Kindred-PK deficiency masquerading as congenital dyserythropoietic anemia.
Clinical case reportsHaemoglobin Bristol-Alesha in a child with non-spherocytic severe haemolytic anaemia and marked anisochromic poikilocytosis with basophilic stippling and amorphous intracellular content.
Blood cells, molecules & diseasesWho should be eligible for gene therapy clinical trials in red blood cell pyruvate kinase deficiency (PKD)?: Toward an expanded definition of severe PKD.
American journal of hematologyRed Blood Cell Metabolism in Pyruvate Kinase Deficient Patients.
Frontiers in physiologySevere Presentation of Congenital Hemolytic Anemias in the Neonatal Age: Diagnostic and Therapeutic Issues.
Diagnostics (Basel, Switzerland)Preclinical studies of efficacy thresholds and tolerability of a clinically ready lentiviral vector for pyruvate kinase deficiency treatment.
Molecular therapy. Methods & clinical developmentClinically relevant gene editing in hematopoietic stem cells for the treatment of pyruvate kinase deficiency.
Molecular therapy. Methods & clinical developmentPutative pathogen-selected polymorphisms in the PKLR gene are associated with mycobacterial susceptibility in Brazilian and African populations.
PLoS neglected tropical diseasesA Sri Lankan girl with a new genetic variant in the PKLR gene causing pyruvate kinase deficiency: a case report.
Journal of medical case reportsMolecular genetic testing enabled the diagnosis of otherwise undiagnosable cases of pyruvate kinase deficiency.
Pediatric hematology and oncologyA pyruvate kinase deficiency child with novel PK-LR gene mutations was successfully cured by matched unrelated donor peripheral blood stem cell transplantation.
Pediatric transplantationPyruvate kinase deficiency in children.
Pediatric blood & cancerImproving the laboratory diagnosis of pyruvate kinase deficiency.
British journal of haematologyDecreased activity and stability of pyruvate kinase in sickle cell disease: a novel target for mitapivat therapy.
BloodA Proposed Concept for Defective Mitophagy Leading to Late Stage Ineffective Erythropoiesis in Pyruvate Kinase Deficiency.
Frontiers in physiologyConsensus document for the diagnosis and treatment of pyruvate kinase deficiency.
Medicina clinicaComorbidities and complications in adults with pyruvate kinase deficiency.
European journal of haematologyA Family Affected by a Life-Threatening Erythrocyte Defect Caused by Pyruvate Kinase Deficiency With Normal Iron Status: A Case Report.
Frontiers in geneticsThe variable manifestations of disease in pyruvate kinase deficiency and their management.
HaematologicaMolecular heterogeneity of pyruvate kinase deficiency.
HaematologicaEpidemiological Study of Hereditary Hemolytic Anemia in the Korean Pediatric Population during 1997-2016: a Nationwide Retrospective Cohort Study.
Journal of Korean medical sciencePyruvate kinase deficiency in a newborn with extramedullary hematopoiesis in the skin.
BloodManagement of pyruvate kinase deficiency in children and adults.
BloodCongenital Hemolytic Anemias: Is There a Role for the Immune System?
Frontiers in immunologyRapid diagnosis of hereditary haemolytic anaemias using automated rheoscopy and supervised machine learning.
British journal of haematologySuccessful allogeneic bone marrow transplantation using immunosuppressive conditioning regimen for a patient with red blood cell transfusiondependent pyruvate kinase deficiency anemia.
Hematology reportsThe pyruvate kinase (PK) to hexokinase enzyme activity ratio and erythrocyte PK protein level in the diagnosis and phenotype of PK deficiency.
British journal of haematologyDevelopment of an Automated Enzymatic Method to Quantify Pyruvate Kinase in Red Blood Cells.
The journal of applied laboratory medicineNext-Generation Sequencing-Based Diagnosis of Unexplained Inherited Hemolytic Anemias Reveals Wide Genetic and Phenotypic Heterogeneity.
The Journal of molecular diagnostics : JMDLaboratory Approach to Hemolytic Anemia.
Indian journal of pediatricsHepcidin and Anemia: A Tight Relationship.
Frontiers in physiology[Case report of a family with erythrocyte pyruvate kinase deficiency].
Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhiSafety and Efficacy of Mitapivat in Pyruvate Kinase Deficiency.
The New England journal of medicineStudy of pathophysiology and molecular characterization of congenital anemia in India using targeted next-generation sequencing approach.
International journal of hematologyHereditary spherocytosis is associated with decreased pyruvate kinase activity due to impaired structural integrity of the red blood cell membrane.
British journal of haematologyClinical and Molecular Spectrum of Glucose-6-Phosphate Isomerase Deficiency. Report of 12 New Cases.
Frontiers in physiologyHow we manage patients with pyruvate kinase deficiency.
British journal of haematologyAppraisal of patient-reported outcome measures in analogous diseases and recommendations for use in phase II and III clinical trials of pyruvate kinase deficiency.
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitationAddressing the diagnostic gaps in pyruvate kinase deficiency: Consensus recommendations on the diagnosis of pyruvate kinase deficiency.
American journal of hematology[How I do in front of an hemolytic anemia of unknown etiology?].
Annales de biologie cliniqueScreening of hereditary spherocytosis and pyruvate kinase deficiency by automated blood count using erythrocytic and reticulocytic parameters.
International journal of laboratory hematologyPhase 1 Single- and Multiple-Ascending-Dose Randomized Studies of the Safety, Pharmacokinetics, and Pharmacodynamics of AG-348, a First-in-Class Allosteric Activator of Pyruvate Kinase R, in Healthy Volunteers.
Clinical pharmacology in drug development[The clinical and laboratory characteristics of congenital pyruvate kinase deficiency].
Zhonghua nei ke za zhiA Case Report of Congenital Non-spherocytic Hemolytic Anemia in a Patient from India.
CureusRed Blood Cell Enzyme Disorders.
Pediatric clinics of North AmericaTargeted next generation sequencing for the diagnosis of patients with rare congenital anemias.
European journal of haematologyFunction and dysfunction.
BloodNovel mutations associated with pyruvate kinase deficiency in Brazil.
Hematology, transfusion and cell therapyNewborn Screening for Hemoglobinopathies and Red Cell Enzymopathies in Tripura State: A Malaria-Endemic State in Northeast India.
HemoglobinA novel PKLR gene mutation identified using advanced molecular techniques.
Pediatric transplantationA Case With Pyruvate Kinase Deficiency Remarkably Sensitive to Heat.
Journal of pediatric hematology/oncologyAlu element insertion in PKLR gene as a novel cause of pyruvate kinase deficiency in Middle Eastern patients.
Human mutationWorldwide study of hematopoietic allogeneic stem cell transplantation in pyruvate kinase deficiency.
HaematologicaDigital microscopy as a screening tool for the diagnosis of hereditary hemolytic anemia.
International journal of laboratory hematologyPersistent Hemolysis after Laparoscopic Partial Splenectomy in Children.
The American surgeonAG-348 enhances pyruvate kinase activity in red blood cells from patients with pyruvate kinase deficiency.
BloodThe mouse Char10 locus regulates severity of pyruvate kinase deficiency and susceptibility to malaria.
PloS one[Haematopoietic stem cell transplantation in pyruvate kinase deficiency: When is it indicated?].
Anales de pediatriaResidual pyruvate kinase activity in PKLR-deficient erythroid precursors of a patient suffering from severe haemolytic anaemia.
European journal of haematologyNext-generation sequencing unravels homozygous mutation in glucose-6-phosphate isomerase, GPIc.1040G>A (p.Arg347His) causing hemolysis in an Indian infant.
Clinica chimica acta; international journal of clinical chemistryCongenital Hemolytic Anemia.
The Medical clinics of North AmericaMolecular basis of pyruvate kinase deficiency among Tunisians: description of new mutations affecting coding and noncoding regions in the PKLR gene.
International journal of laboratory hematologyRed cell pyruvate kinase deficiency in Spain: A study of 15 cases.
Medicina clinicaCord blood transplantation in a young child with pyruvate kinase deficiency.
Pediatrics international : official journal of the Japan Pediatric SocietyTanaka KR, Valentine WN, Miwa S. Pyruvate kinase (PK) deficiency hereditary nonspherocytic hemolytic anemia. Blood. 1962;19(3):267-295.
BloodSafe and Efficient Gene Therapy for Pyruvate Kinase Deficiency.
Molecular therapy : the journal of the American Society of Gene TherapyKrüppeling erythropoiesis: an unexpected broad spectrum of human red blood cell disorders due to KLF1 variants.
BloodRed blood cell PK deficiency: An update of PK-LR gene mutation database.
Blood cells, molecules & diseasesTwo Novel Missense Mutations and a 5bp Deletion in the Erythroid-Specific Promoter of the PKLR Gene in Two Unrelated Patients With Pyruvate Kinase Deficient Transfusion-Dependent Chronic Nonspherocytic Hemolytic Anemia.
Pediatric blood & cancerGeneration of a High Number of Healthy Erythroid Cells from Gene-Edited Pyruvate Kinase Deficiency Patient-Specific Induced Pluripotent Stem Cells.
Stem cell reportsPyruvate kinase deficiency and severe congenital hemolytic anemia in a double heterozygous patient with paternal transmission of an early germ-line de novo mutation.
American journal of hematologyErythrocyte pyruvate kinase deficiency: 2015 status report.
American journal of hematologyWestern immunoblotting as a new tool for investigating direct antiglobulin test-negative autoimmune hemolytic anemias.
TransfusionAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
Ainda não temos associações cadastradas para Anemia hemolítica por deficiência de piruvato cinase dos eritrócitos.
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Comunidades
Grupos ativos de quem convive com esta doença aqui no Raras
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Pyruvate kinase deficiency modifies sickle hemoglobin carrier and sickle cell disease phenotypes in mice.
- Pyruvate Kinase Deficiency: Markedly Decreased Reticulocyte PK Activity and Limited Specificity of the PK/HK Ratio.
- Hereditary disorders of ineffective erythropoiesis.
- Mitapivat for Acquired Pyruvate Kinase Deficiency.
- Metabolic Rigidity as a Mechanical Barrier to Malaria: Flickering Loss in PKLR-Deficient Erythrocytes.FASEB journal : official publication of the Federation of American Societies for Experimental Biology· 2025· PMID 41258954mais citado
- Achondroplasia and hypochondroplasia in France: a nationwide epidemiological analysis.
- Computed tomography anatomic predictors of outcomes in patients undergoing tricuspid transcatheter edge-to-edge repair.
- Impact of Medication Nonadherence in a Clinical Trial of Dual Antiplatelet Therapy.
- Effects of thymectomy on late-onset non-thymomatous myasthenia gravis: systematic review and meta-analysis.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:766(Orphanet)
- OMIM OMIM:266200(OMIM)
- MONDO:0009950(MONDO)
- GARD:7514(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q3043149(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
